Individual
ANNA WOLF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RBT-17-40163
Contact information
Practice address
24865 DETROIT RD, WESTLAKE, OH 44145-2512
(440) 250-8800
(440) 641-1170
Mailing address
17920 DETROIT AVE APT 407, LAKEWOOD, OH 44107-3439
(216) 513-2064
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
RBT-17-40163
CO
171M00000X
Case Manager/Care Coordinator
Primary
—
OH
Other
Enumeration date
12/29/2017
Last updated
12/29/2017
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